Safar.com 

CREDIT CARD HOLDER’S AUTHORIZATION

 

In lieu of my credit card imprint, I-----------------------------------------------------------------------------hereby authorize                                                                                            

(Name of  cardholder as shown on credit card)

 

Safar.com, acting on behalf of (Airline Name)-------------------------------------------------to charge my:

                                   

Visa, Master Card, American Express ------------------------------------------------------------     -----------------------

                (Circle One)                                      (Credit Card Number)                    (Expiration date)

 

In the amount of  $ -------------------------------------- for payment of transportation of myself and /or

 

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(Name (s) of Passenger (s) if other than cardholder.)

 

For itinerary as follows: ----------------------------------------------------------------------------------------------------------

                                                             (Complete Routing)

 

My Billing Address: -------------------------------------------------------------------------Phone: (Home)---------------------------------- 

                             -------------------------------------------------------------------------(Work) -------------------------------------------------

 

Note: Identification is required.  Please provide Photostat copy of the credit card (Front & Back) and

passport or driver licenses of cardholder.

By signing below, I acknowledge charges described hereon.  Payment in full to be made when billed or in

extended payment, in accordance with standard policy of credit card issuing company, I have been informed that:

 

·         3-There will be $30.00 service fee in addition to the airlines penalty of $250.00, per
ticket, if I request a refund.

·         4-$200.00 penalty for any change of reservation.

·         5-After departure non refundable. 

 

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Signature of cardholder                  Please print card holder name                    Date